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FAMILY PHYSICIANS RX
STD33180 WHEAT Community Services
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Covered Entity Details
Entity Name
WHEAT Community Services
Subdivision Name
Miami-Dade
Type
Sexually Transmitted Diseases
340B ID
STD33180
Entity Address
2627 NE 203RD ST STE 109
Suite 109
Miami, FL 33180
Grant Number
NH25PS005131
Participating Start Date
5/8/2020
Last Recertification Date
6/3/2024
Pharmacy Details
Pharmacy Name
FAMILY PHYSICIANS RX
Pharmacy Address
DBA PHARMCORX 1204
901 N MIAMI BEACH BLVD STE 1
NORTH MIAMI BEACH, FL 33162-3720
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Regina F Cooper, Director
(954) 661-7227
Contract Pharmacy Representative
PharmCo
Birute Norkute, COO
(561) 651-9393
Signed By Date
1/17/2023
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